Evidence map›Paper›PMID 42251518›Full record

ArticleAnnals of Saudi medicine

Age-related patterns in hysterectomy: indications and surgical route selection in a three-year tertiary-center cohort.

Havva Betül Bacak, Enes Serhat Coșkun

Abstract read
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Article in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Havva Betül BacakFrom the Department of Obstetrics and Gynecology, Gaziosmanpaşa Training and Research Hospital, Istanbul, Türkiye.ORCID 0000-0001-8516-5493
Enes Serhat CoșkunFrom the Department of Obstetrics and Gynecology, Gaziosmanpaşa Training and Research Hospital, Istanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHysterectomy indications and surgical route selection may vary with age due to shifting case mix.

objectivesTo describe age-stratified hysterectomy indications and routes and identify factors independently associated with route selection.

designRetrospective chart review. SETTINGS: Single-center, tertiary-care teaching and research hospital, Department of Obstetrics and Gynecology.

methodsHysterectomies performed for benign or premalignant indications between 2022 and 2024 were identified and verified. Patients were grouped according to age [<50, 50-59, or ≥60 years]. Indications were assigned using PALM-COEIN and grouped clinically. Routes were categorized as open abdominal, laparoscopic/VNOTES, or vaginal. Comparisons used Kruskal-Wallis and chi-square tests. Multinomial and binary logistic regression adjusted for age group, parity, comorbidity, smoking, and prior pelvic/abdominal surgery.

main outcome measuresage-stratified hysterectomy route and age-stratified indications and predictors of minimally invasive versus open surgery. SAMPLE SIZE: 769 hysterectomies.

resultsPrimary indications differed significantly by age group (

conclusionsAge-related indication shifts accompanied major route changes, with greater vaginal and minimally invasive use among older patients. LIMITATIONS: Single-center retrospective design; residual confounding by indication and uterine size; conversions and standardized complications were not analyzed; unmeasured clinical/surgeon factors.

Indexed as

HysterectomyAdultAgedAge FactorsFemaleHumansHysterectomy, VaginalLaparoscopyLogistic ModelsMiddle AgedMinimally Invasive Surgical ProceduresPelvic Organ ProlapseRetrospective StudiesTertiary Care CentersUterine Hemorrhageage factorsHysterectomylaparoscopyvaginal hysterectomy

Identifiers

PMID42251518
PMCPMC13308740

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.